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Infertility is defined as the inability to achieve pregnancy after one year of unprotected intercourse an estimated 15 of couples meet this criterion and are considered infertile with approximately 35 due to female factors alone 30 due to male factors alone 20 due to a combination of female and male factors and 15 unexplained. Surgical and medical management of male infertility marc goldstein md dsc hon facs professor of reproductive medicine and urology weill cornell medical college of cornell university. Male infertility is the result of a variety of highly treatable conditions the critical step in treating male infertility is to evaluate properly every male partner of an infertile couple and to generate the proper treatment strategy there are many medical and surgical options that can help most . Book details the first edition of medical surgical management of male infertility book hardcover was released on september 2013 and edited by botros rmb rizk nabil aziz ashok agarwal and edmund sabanegh jr. Surgical management of male infertility sandro c esteves alaa hamada ashok agarwal chapter contents surgical treatment to improve sperm production reconstructive surgeries of ductal system ejaculatory duct medical or surgical treatment whenever possible or to